| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,613 |
1,467 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
918 |
856 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
811 |
802 |
$18K |
| 99442 |
|
76 |
61 |
$8K |
| 90461 |
|
64 |
63 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
41 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 90674 |
|
76 |
76 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
70 |
$1K |
| 0072A |
|
20 |
20 |
$767.32 |
| 0071A |
|
20 |
20 |
$723.38 |
| 81002 |
|
174 |
124 |
$528.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$464.50 |
| 0124A |
|
14 |
14 |
$463.31 |
| 90686 |
|
383 |
383 |
$0.00 |
| 91307 |
|
16 |
16 |
$0.00 |